BillrothⅠ式与BillrothⅡ式吻合术在远端胃癌手术中的比较  

Distal Gastric Cancer Surgery:A Comparison of BillrothⅠ or BillrothⅡ

作　　者：宋益锋 马煜[1] 

机构地区：[1]浙江省嵊州市人民医院外一科,浙江嵊州312400

出　　处：《中国现代医生》2010年第35期9-10,18,共3页China Modern Doctor

摘　　要：目的探讨远端胃癌手术的消化道重建方式。方法对我院1999年9月～2004年9月收治并手术治疗的115例远端胃癌进行回顾性分析。行BillrothⅡ式手术56例,BillrothⅠ式手术59例。比较术后并发症、住院时间、治疗费用、5年生存率。结果 BillrothⅡ式并发症发生率、术后住院时间、住院费用都远高于BillrothⅠ式(P<0.05)。两者的5年生存率相似(P>0.05)。结论 BillrothⅠ式吻合术重建消化道,操作简单,符合生理,减少术后并发症,提高患者术后的生存质量,是根治性远端胃切除术后理想的消化道重建方式。Objective To explore the digestive tract reconstruction in distal gastric cancer and compare two types of surgical recon- struction, gastroduodenostomy （Billroth I anastomosis） or gastrojeunostomy （Billroth II anastomosis）. Methods A retrospective analysis was made of 115 cases of distal gastric cancers treated by surgery in our hospital from 1999 to 2004,and postoperative complications, hospital stay and costs, survival rates were compared between Billroth I and II gastrectomy. Results Billroth I gastrectomy had better results in terms of complications,postoperative hospital stay and costs compared with BillrothlI（P〈0.05） and there was no difference in 5-year survival rate between the two（P〉0.05）. Conclusion Surgical results of Billroth I gastrectomy are significantly better than those of Billroth II gastrectomy,suggesting that Billroth I gastrectomy is a rational choice in surgical treatment of distal gastric cancer.

关 键 词：远端胃癌 消化道重建方式 术后并发症 BillrothⅠ BillrothⅡ 

分 类 号：R735.2[医药卫生—肿瘤]